有相当数量的糖尿病患者因外科疾病需要手术治疗,当糖尿病伴有各种并发症时手术是否具有危险呢?现将我们的经验介绍如下: 临床资料 24例空腹血糖在300mg％以上的重症糖尿病患者接受了手术。病史最长者17年,最短者2年。急诊手术占54％,限制及择期手术占46％。有心血管疾病者占38％,5例合并血管栓塞性肢端坏死。手术前血糖在原有胰岛素治疗的基础上均明显升高,4例有酮血 A considerable number of diabetic patients due to surgical diseases require surgical treatment of diabetes when accompanied by complications of surgery is dangerous? Now our experience as follows: Clinical data 24 cases of fasting blood glucose in 300mg% of patients with severe diabetes Underwent surgery. The longest history of 17 years, the shortest of 2 years. Emergency surgery accounted for 54%, limiting and elective surgery accounted for 46%. Cardiovascular disease accounted for 38%, 5 cases of vascular embolic acral necrosis. Preoperative blood glucose in the original insulin therapy were significantly increased on the basis of 4 cases of blood ketone